It will be interesting when he is 60 if he feels like he made the right choices.
Elon Musk has 5 kids, as another example.
Just because it's possible for executives to work long hours, it doesn't mean it's healthy for their family life to.
*I'm not a believer in "doesn't get", rather it's "doesn't want".
If you want to be cooking some nice meals for them, coaching sports, attending events, assisting with homework, tucking into bed, dealing with illness, prepping for holidays, having fun together, taking vacations, etc. then you have to devote a substantial amount of time. I suspect that most of these busy CEO dads don't spend all that much time doing these things.
You only have so much time in the day and available time that corresponds to the time the child is available and active is in very short supply.